Berg, Nicole

Berg, Nicole is an individual health care provider with primary practice located at 12 S 8Th St , Yakima WA 98901-3020. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Berg, Nicole can be contacted via phone (509) 454-4143.

Contact Information

Primary practice address
12 S 8Th St Yakima WA 98901-3020
Phone: (509) 454-4143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X DI60623977 Washington
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1922473149
LBN Legal business name Berg, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2015
Last updated Jun 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922473149 NPPES
Washington Other 86047366 RDN

Popular Providers